MEDICARE: MILTON J FOUST JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	19848	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578671426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILTON J FOUST JR. MD

Provider Business Mailing Address
First Line	:	MADIGAN ARMY MEDICAL CTR
Second Line	:	9040 JACKSON AVENUE
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1110
Fax Number	:

Provider Business Practice Location Address
First Line	:	BUILDING R-3742, RAILROAD AVE.
Second Line	:	1-2 EMBEDDED BEHAVIORAL HEALTH
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98498-0001
Country	:	US
Telephone Number	:	253-966-3640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	03/30/2016

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